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GRIGORIY MALYUTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5125
Mailing address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(054) 271-5125

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
39526
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2017
Last updated
05/22/2022
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